MEDICARE: TAYLOR R. KEEFER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN.CNP.022550	OH

General Provider Information

NPI Number	:	1215431564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR R. KEEFER CNP

Provider Business Mailing Address
First Line	:	1735 27TH ST
Second Line	:
City	:	PORTSMOUTH
State	:	OH
Zip	:	45662-2677
Country	:	US
Telephone Number	:	740-356-5000
Fax Number	:	740-356-1256

Provider Business Practice Location Address
First Line	:	8770 OHIO RIVER RD
Second Line	:
City	:	WHEELERSBURG
State	:	OH
Zip	:	45694-1918
Country	:	US
Telephone Number	:	740-356-4100
Fax Number	:	740-355-4182

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2018
Last Update Date	:	01/23/2026

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